Individual
DR. JAMES S GOODLET JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
185 BLAIR VALLEY DR NE, MARIETTA, GA 30060-8033
(770) 880-5372
Mailing address
185 BLAIR VALLEY DR NE, MARIETTA, GA 30060-8033
(770) 880-5372
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
11080
ND
208800000X
Urology Physician
11769
ME
208800000X
Urology Physician
11769
MT
208800000X
Urology Physician
Primary
17808
GA
208800000X
Urology Physician
23959
AL
Other
Enumeration date
06/15/2005
Last updated
09/10/2010
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